Pharos Response new client application

Please complete this form to apply for your discounted AIM Member emergency response service. In the event of a major incident, any intervention costs beyond your inclusive hour will be covered by AIM up to a limit of £25,000 where an incident falls within the scope of your Cover. Charges outside of AIM’s cover are £75 per hour (or £95 per hour for counselling services). Details of your levels of cover and the definition of an emergency can be found in your AIM Member terms.

* Organisation name

* Your name

First

Last

Email

AIM Member number

What happens next?

On receipt of completed booking form, we will send your log-in details to the online Major Incident Audit Tool. Your welcome pack will arrive by post, including your invoice, emergency contact cards and 'supported by Pharos' logo and usage details. Direct debit details will be provided if you choose this method of payment.

* Terms and conditions. By checking this box, I confirm that I wish to purchase an annual subscription to Pharos Emergency Response Services Ltd for an exclusive AIM Member discount of £125.00 per year. Our full terms and conditions can be dowloaded here https://pharos-response.co.uk/wp-content/uploads/2015/01/AIM-Member-TCs-.pdf